1.やさしい
What does the reticulocyte count measure?
- AOld red blood cells that are being removed by the spleen
- BYoung red blood cells recently released from the bone marrow
- CPlatelets that are larger than normal in size
- DImmature white blood cells released during infection
2.やさしい
What is the main effect of aldosterone on the kidneys?
- AGlucose is retained and urea is excreted
- BSodium is excreted and potassium is retained
- CSodium is retained and potassium is excreted
- DCalcium is retained and phosphate is excreted
3.やさしい
What does the term pancytopenia mean?
- ALow red cells with normal platelets
- BHigh white cells with low platelets
- CLow red cells, white cells and platelets
- DHigh red cells, white cells and platelets
4.ふつう
静脈内グルコン酸カルシウムは、重度の高カリウム血症の患者にどのように役立ちますか?
- A腎臓からのカリウムの排泄を増やす
- Bカリウムを下げずに、心筋細胞の膜を安定させる
- Cカリウムを血液から細胞内に移動させる
- D腸内でカリウムに結合し、便として排出させる
5.ふつう
A patient with acute pancreatitis has muscle twitching and numbness around the mouth. Which laboratory value should the nurse check?
- ASerum calcium
- BSerum amylase
- CSerum sodium
- DSerum chloride
6.ふつう
A patient has burning on urination and frequency. The dipstick is positive for nitrites and leukocyte esterase, and a urine culture is ordered. When should the sample be taken?
- ABefore the first dose of antibiotic
- BAfter 3 days of antibiotic treatment
- CAt any time, as antibiotics do not matter
- DAfter the symptoms have fully settled
7.むずかしい
Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?
- AHyperkalemia from tissue damage is causing the bowel to stop
- BThe potassium is normal for the second day after surgery
- CThe low potassium is due to the patient drinking too much water
- DHypokalemia from gastric losses is contributing to paralytic ileus
8.むずかしい
The nurse teaches a patient starting lithium. Which statement shows a need for further teaching?
- A"I will check with the pharmacist before taking ibuprofen"
- B"I will tell my doctor if I have vomiting or diarrhea"
- C"I will cut out salt from my diet completely to stay healthy"
- D"I will drink plenty of fluids, especially in hot weather"
解答
- 1. B · Young red blood cells recently released from the bone marrow
- 2. C · Sodium is retained and potassium is excreted
- 3. C · Low red cells, white cells and platelets
- 4. B · カリウムを下げずに、心筋細胞の膜を安定させる
- 5. A · Serum calcium
- 6. A · Before the first dose of antibiotic
- 7. D · Hypokalemia from gastric losses is contributing to paralytic ileus
- 8. C · "I will cut out salt from my diet completely to stay healthy"
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